Patient delay in chronic kidney disease: A qualitative study

Area of Science:

• Nephrology
• Public Health
• Qualitative Research Methodology

Background:

• Patient delay in seeking medical consultation for chronic kidney disease (CKD) is a significant global health concern.
• Understanding the multifaceted reasons behind this delay is essential for developing effective public health interventions.
• Early diagnosis and treatment of CKD are critical for slowing disease progression and improving patient outcomes.

Purpose of the Study:

• To investigate the underlying reasons for patient delay in seeking medical care for chronic kidney disease (CKD).
• To provide a scientific foundation for the development of targeted interventions to mitigate patient delay in CKD.
• To enhance health education strategies and improve patient quality of survival through timely medical consultation.

Main Methods:

• Qualitative research approach employing the phenomenological method.
• Semi-structured, face-to-face interviews conducted with 14 patients diagnosed with chronic kidney disease (CKD).
• Colaizzi's seven-step analysis method utilized for in-depth analysis of interview data and theme refinement.

Main Results:

• Four major themes emerged explaining patient delay in CKD: cognitive illness perception, negative psychological emotions, socioeconomic status, and limited access to medical resources.
• Patients' understanding of their illness significantly influences their decision to seek medical help.
• Psychological distress, financial constraints, and inadequate healthcare accessibility are critical barriers to timely consultation.

Conclusions:

• The phenomenon of patient delay in chronic kidney disease (CKD) is prevalent and driven by a complex interplay of factors.
• Healthcare management departments and providers must implement tailored supportive interventions and health education.
• Improving patients' awareness of the importance of medical consultation is key to enhancing their quality of survival in CKD.